- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.61 / $25.36 / $57.96
| Facility | | $12.61 | $25.36 | $57.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $11.09 / $12.61
| Professional | | $10.02 | $11.09 | $12.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.36 / $13.36 / $65.06
| Facility | | $13.36 | $13.36 | $65.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.60 / $6.60 / $8.08
| Professional | | $6.60 | $6.60 | $8.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.56 / $60.46 / $90.50
| Professional | | $39.56 | $60.46 | $90.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $32.71 / $68.78
| Facility | | $9.33 | $32.71 | $68.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.57 / $8.97 / $15.28
| Professional | | $7.57 | $8.97 | $15.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.03 / $16.70 / $19.77
| Professional | | $16.03 | $16.70 | $19.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.20 / $11.65 / $12.61
| Facility | | $11.20 | $11.65 | $12.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.37 / $19.30 / $33.00
| Professional | | $18.37 | $19.30 | $33.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.39 / $18.29 / $4,071.00
| Facility | | $10.39 | $18.29 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.39 / $17.80 / $4,071.00
| Professional | | $10.39 | $17.80 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.61 / $5.61 / $5.61
| Facility | | $5.61 | $5.61 | $5.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.61 / $8.02 / $11.02
| Professional | | $5.61 | $8.02 | $11.02 |